〖GK3!3〗〖HT5”H〗摘要:目的:探討復合鼻小柱側面皮瓣法治療完全性單側唇裂的療效。方法:自2003年3月至2007年10月采用復合鼻小柱側面皮瓣法治療完全性單側唇裂24例。結果: 24例均成功,唇弓形態滿意,唇峰降至水平位置,兩側鼻翼基底位于同一水平線上,唇紅豐滿、自然,上唇松動,瘢痕不明顯。3例鼻小柱側面皮瓣出現表皮糜爛,換藥后痊愈。隨訪9例,最短4月,最長15月,平均83個月。結論: 復合鼻小柱側面皮瓣法充分利用周圍有限的組織,解決了完全性唇裂唇峰不易下降至水平、縫合張力大等問題,具有以往傳統方法不具有的優勢,但尚需要病例的積累和時間的驗證。
The American Academy of Orthopaedic Surgeons (AAOS) released the updated Evidence-Based Clinical Practice Guideline for the Management of Rotator Cuff Injuries in August 2025. The guideline provides 25 recommendations and 4 consensus statements across diagnosis, treatment decision-making, biologic interventions, and postoperative rehabilitation, with the strength of each recommendation graded according to the quality of supporting evidence. The updated guideline highlights several key advances, including establishing CT as an important adjunctive imaging modality, providing specific recommendations on repair strategies for high-grade partial-thickness rotator cuff tears, and clearly restricting the use of platelet-rich plasma and marrow stimulation in rotator cuff repair, as well as limiting the application of prolotherapy in the treatment of full-thickness rotator cuff tears. In addition, the guideline emphasizes the potential benefits of early mobilization in patients with small to medium-sized tears.